Part B News Features
Question: Medicare creates advance beneficiary notices of noncoverage (ABN) in English and Spanish, but the majority of our limited English proficiency patients speak Korean. Does our practice need to... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Remote physiological monitoring (RPM) continues to surge in popularity. A three-year review shows massive growth among the suite of RPM codes – 99091, 99453-99458, 99473-99474 – that debut... More
Question: Medicare creates advance beneficiary notices of noncoverage (ABN) in English and Spanish, but the majority of our limited English proficiency patients speak Korean. Does our practice need to... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Remote physiological monitoring (RPM) continues to surge in popularity. A three-year review shows massive growth among the suite of RPM codes – 99091, 99453-99458, 99473-99474 – that debut... More
Tools
Take a look at the new, revised and potentially misvalued services that CMS identified in the proposed 2023 Medicare physician fee schedule. The downloadable document (xls) provides current and projected work relative value units (RVU) for each service, allowing you to compare RVU changes between 2022 and 2023.
Observation-only E/M codes are slated for deletion as of Jan. 1, 2023. Part of the second phase of the E/M coding update folds observation codes into existing inpatient E/M codes and revises the inpatient codes’ descriptors. Use this crosswalk to train staff on the pending changes.
Benchmark of the Week
Remote physiological monitoring (RPM) continues to surge in popularity. A three-year review shows massive growth among the suite of RPM codes – 99091, 99453-99458, 99473-99474 – that debuted between the years of 2018 and 2020.
The Part B professional fee payment for the delayed creation of an exit site for an embedded catheter (49436) has increased 185.8% in 2023, making it the biggest gainer among the codes covered by the Medicare physician fee schedule that went into effect January 1.

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